关键词: Acromegaly Comorbidities Pituitary adenoma Somatotropinoma Treatment

Mesh : Acromegaly / epidemiology etiology therapy Adenoma / complications epidemiology therapy Cancer Survivors Cardiovascular Diseases / epidemiology etiology therapy Comorbidity Growth Hormone-Secreting Pituitary Adenoma / complications epidemiology therapy Humans Long-Term Care / methods standards Morbidity Neoplasms / epidemiology etiology therapy Practice Guidelines as Topic

来  源:   DOI:10.1016/j.ecl.2020.05.007   PDF(Sci-hub)

Abstract:
Acromegaly is a systemic disease associated with great morbidity and increased mortality if not adequately treated. In the past decades much improvement has been achieved in its treatment and in the knowledge of its comorbidities. We provide an update of acromegaly management with current recommendations. We also address long-term comorbidities emphasizing the changing face of the disease in more recent series, with a decrease of cardiovascular disease severity and an increased awareness of comorbidities like bone disease, manifested mainly as vertebral fractures and the change in the main cause of death (from cardiovascular disease to cancer in more recent series).
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